Individual provider · Type 1 NPI

Marc Lee Zimmermann, PhD, M.P.

Prescribing (Medical) Psychologist · Baton Rouge, LA

NPI number 1093743528 Active

Practice location

11911 Justice Ave
Baton Rouge, LA 70816-2373

Fax (225) 751-5847

Mailing address

PO Box 86962
Baton Rouge, LA 70879-6962

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X304 (LA)
Addiction (Substance Use Disorder) Psychologist 103TA0400X304 (LA)
Prescribing (Medical) Psychologist Primary 103TP0016XMPAP.000015 (LA)
Forensic Psychologist 103TF0200X304 (LA)

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

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About NPI 1093743528

Marc Lee Zimmermann, PhD, M.P.'s National Provider Identifier is 1093743528, issued on Jun 30, 2006. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Baton Rouge, LA. The record was last updated on Jan 8, 2026.